膝关节半月板损伤行关节镜下缝合术的围手术期康复研究  

Nusing treatment of suture of injured meniscus with arthroscopy

作　　者：黄合琴[1] 邓姝[1] 刘春梅[1] 

机构地区：[1]第三军医大学西南医院关节外科中心,重庆400038

出　　处：《重庆医学》2011年第10期971-972,共2页Chongqing medicine

摘　　要：目的探讨关节镜辅助下手术治疗膝关节半月板损伤的围手术期康复方法及近期疗效。方法自2005年1月至2008年12月，共手术治疗38例单纯的膝关节半月板损伤。术后抬高患肢，局部冰敷，出院前作好出院指导，鼓励康复锻炼。结果膝关节半月板损伤全部患者均获得随访，术后无切口愈合不良和感染等早期并发症，36例膝关节功能完全正常，2例活动范围0°～100°，HSS术后评分（88．2±4．1）分。结论在治疗膝关节半月板损伤时，采用关节镜辅助下的缝合手术，具有创伤小、可同时处理关节腔内的其他损伤等优势，可以获得膝关节良好功能的近期疗效。及时准确的围手术期康复和护理对确保手术疗效和防止手术并发症起了积极的促进作用。Objective To introduce nusing treatment of injured meniscus under arthroscope and its corresponding theraputic effect. Methods A total of 38 patients with injured meniscus at knee were treated by arthroscopic fixation from January 2005 to December 2008. Firstly,the combined injuries were observed. Then the injured meniscus were reduced and sutured. Results All patients were available for Following-up and were healing. No case had severe complication, and 36 patients exhibited normal activity. According to the HSS score system,the mean score was 88.2±4.1. Conclusion Arthroscopic treatment is a good choice for injured meniscus. Advantages of this technique are minimal invasive,simple procedur,less time for operation and hospitalization with early rehabilitation,and all the combined injuries can be treated at the same time. Postoperative cave following the criterion of routine nursing and rehabilitation are especially important during the treatment.

关 键 词：膝关节 半月板 胫骨 关节镜检查 治疗 康复 

分 类 号：R687.3[医药卫生—骨科学]